Agitator Truck Filling | SAFE WORK METHOD STATEMENT (SWMS)

TASK OR ACTIVITY: Agitator Truck Filling

Business Name: ABN: SWMS#

Business Address:

E
Contact Person: Phone: Email:

L
THIS SAFE WORK METHOD STATEMENT IS APPROVED BY THE PCBU OF THE PROJECT
Under the Work Health and Safety Regulation (WHS Regulation), a person conducting a business or undertaking (PCBU) is required to ensure tha t a safe work method statement (SWMS) is prepared before
the proposed work starts.

P
Full Name:

Title: Date:
Signature:

M
Details of the person(s) responsible for ensuring implementation, monitoring and compliance of the SWMS as well as reviews and modifications of the SWMS.

Full Name: Title: Phone:

HAVE THE FOLLOWING COMMUNICATED

S A
ALL PERSONNEL PARTICIPATING IN ANY ACTIVITY ON THIS SWMS MUST

Safety meetings or toolbox talks will be scheduled in accordance with legislative

requirements to first identify any site hazards, secondly to communicate those
hazards and then to further take steps to either eliminate or control each hazard.

If an incident or a near miss occurs, all work must stop immediately. Depending
on the severity of the incident, a meeting will be called with all workers to amend
the SWMS if required. The meeting may also be an educational opportunity.
NAME OF ALL RELEVANT PERSONNEL WHO HAVE BEEN CONSULTED AND COMMUNICATED TO IN THE
DEVELOPMENT AND APPROVAL OF THIS SWMS

Any changes made to the SWMS after an incident or a near miss must be
approved by the Person Conducting Business or Undertaking and
communicated to all relevant personnel.

The SWMS must be kept and be available for inspection at least until the work is
completed. Where a SWMS is revised, all versions should be kept. If a notifiable
incident occurs in relation to which the SWMS relates, then the SWMS must be
kept for at least two years from the occurrence of the notifiable incident.

Version 2.5 Authorised by Review # Date of Issue: Review Date: 1

 CLIENT OR PRINCIPAL CONTRACTOR DETAILS

Client: SCOPE OF WORKS

Project Name:

Project Address:

E
Project Manager:

Contact Phone:

Date SWMS supplied to Project Manager:

☐ involves a risk of a person falling more than 2 meters

P
ANY HIGH-RISK CONSTRUCTION WORK BEING CARRIED OUT

☐
L
is carried out on or near pressurised gas mains or piping

M
☐ is carried out on a telecommunication tower ☐ is carried out on or near chemical, fuel or refrigerant lines

☐ involves demolition of an element of a structure that is load -bearing ☐ is carried out on or near energised electrical installations or services

A
☐ involves demolition of an element related to the physical integrity of a structure ☐ is carried out in an area that may have a contaminated or flammable atmosphere

☐ involves, or is likely to involve, disturbing asbestos ☐ involves tilt-up or precast concrete

S
☐ involves structural alteration or repair that requires temporary support to prevent collapse ☐ is carried out on, in or adjacent to a road, railway, shipping lane or other traffic corridor

☐ is carried out in or near a confined space ☐ is carried out in an area of a workplace where there is any movement of powered mobile plant

☐ is carried out in/near a shaft or trench deeper than 1.5m or tunnel involving use of explosives ☐ is carried out in areas with artificial extremes of temperature .

☐ is carried out in or near water or other liquid that involves a risk of drowning . ☐ involves diving work.

ANY HIGH-RISK MACHINERY OR EQUIPMENT NEARBY

Version 2.5 Authorised by Review # Date of Issue: Review Date: 2

 RISK MATRIX

LIKELIHOOD INSIGNIFICANT MINOR MODERATE MAJOR CATASTROPHIC HEIRARCHY OF CONTROLS

SCORE ACTION
ALMOST 3 3 4 4 4
Elimination
CERTAIN HIGH HIGH ACUTE ACUTE ACUTE
Remov e the hazard.
2 3 3 4 4 4A DO NOT

E
LIKELY
MODERATE HIGH HIGH ACUTE ACUTE ACUTE PROCEED Substitution
Replace the hazard.
1 2 3 4 4 3H Review before
POSSIBLE
LOW MODERATE HIGH ACUTE ACUTE HIGH work starts.

L
Isolation
Ensure control Isolate People f rom the hazard
1 1 2 3 4 2M
UNLIKELY measures in
LOW LOW MODERATE HIGH ACUTE MODERATE
place.
Engineering
1 1 2 3 3 1L Monitor and
RARE

P
LOW LOW MODERATE HIGH HIGH LOW keep records. Isolate the hazard.

Administrative
Change the
Notes on Hierarchy of Controls: Elimination methods are the most effective and preferred when controlling a hazard. Substitution
work.
is the second most effective method of controlling a hazard. Engineering by isolation is the third most effective, while Administrative
Controls by changing the work is the fourth most effective method. PPE (Personal Protective Equipment ) is the least effective

M
method. PPE

PERSONAL PROTECTIVE EQUIPMENT (PPE)

A
Select the appropriate PPE above suitable for the equipment used or the job task being performed (if applicable).
FOOT HAND HEAD HEARING EYE RESPIRATORY FACE HIGH-VIS PROTECTIVE FALL SUN HAIR/JEWELLERY
PROTECTION PROTECTION PROTECTION PROTECTION PROTECTION PROTECTION PROTECTION CLOTHING CLOTHING PROTECTION PROTECTION SECURED

☐
Other PPE Required:
☐ ☐
S ☐

Permit or Licenses Requirements

☐ ☐ ☐ ☐ ☐ ☐

Mandatory Qualifications and Training

☐ ☐

Version 2.5 Authorised by Review # Date of Issue: Review Date: 3

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK

E
- Ensure the work area is clear of any unnecessary materials or clutter to minimize tripping hazards.
- Use proper lifting techniques and equipment, such as trolleys or forklifts, for moving heavy items to
prevent manual handling injuries.

L
- Provide adequate training to all personnel on how to identify and mitigate tripping hazards in the
preparation area.
- Mark all uneven surfaces and potential trip points with high -visibility paint or tape.

P
- Regularly inspect the work area for new hazards and rectify any issues immediately.
- Install appropriate signage to alert workers to pay attention to floor conditions and potential obstacles.
- Encourage the use of personal protective equipment such as safety boots with good grip to prevent slips
and trips.

M
- Ensure that all cords and cables are secured and do not cross walkways.
- Introduce scheduled housekeeping routines to maintain a clean and organised workspace at all times.
- Arrange storage areas to allow easy access without requiring employees to stretch or twist their bodies

A
in unergonomic ways.
- Implement a buddy system where workers can assist each other with lifting or moving tasks that may
present a manual handling risk.
- Conduct routine awareness workshops focusing on hazard recognition relevant to foot traffic and manual

S
handling.
- Establish a reporting system for workers to report hazards immediately to ensure swift corrective actions.

- Conduct a pre-operational inspection of equipment to identify any visible damage or malfunction.

- Ensure that all guards and safety devices are in place and functional before operating the equipment.
- Verify that all warning labels and signage are clearly visible and intact.
- Implement a lockout/tagout procedure before inspecting or repairing electrical components to prevent
accidental energisation.
- Wear appropriate personal protective equipment (PPE), including high visibility clothing, safety boots,
and gloves.
- Ensure that only trained and authorised personnel conduct inspections and operate equipment.
- Maintain clear communication with site supervisors and colleagues regarding equipment status and
potential hazards.
- Use insulated tools when working near or on electrical equipment to reduce the risk of electric shock.

Version 2.5 Authorised by Review # Date of Issue: Review Date: 4

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
- Position equipment on stable, level ground to minimise the risk of crushing incidents due to movement or
instability.
- Regularly check for frayed wires, broken plugs, or other electrical faults that could pose a risk during
operation.

E
- Establish a clear exclusion zone around the equipment during inspection to keep unnecessary personnel
at a safe distance.

L
- Conduct a pre-operational check of the surrounding area to identify potential falling objects and remove
any hazards.
- Use barriers or warning signs to delineate the setup area and prevent unauthorized access.

P
- Ensure all personnel in the area are wearing appropriate personal protective equipment (PPE), including
hard hats and non-slip footwear.
- Secure overhead tools and equipment to prevent them from falling during setup operations.
- Instruct all workers to maintain cleanliness in the workspace to minimize slipping hazards.

M
- Implement a buddy system where one worker oversees and assists in spotting potential hazards.
- Establish clear communication protocols via hand signals or two -way radios to coordinate movements
within the setup area effectively.

A
- Position work materials at a safe distance from the truck to reduce the risk of slips, trips, and falls when
carrying loads.
- Regularly inspect work platforms and access ways to ensure they are level, stable, and free from
obstruction or debris.

S
- Adequately train personnel on identifying and managing slip and fall risks specific to the site conditions.
- Install anti-slip mats in areas prone to moisture or oil accumulation.
- Schedule routine maintenance checks of equipment and structures in the setup area to promptly
address wear and defects that could pose safety risks.

X XXXXXX XXX XXXXXXXXX XXX XXXXXXX XXX XXXXXXXXX XX XXX XXXXXXXXX XX XXXXXXX
XXXXXXXXX XXX XXXXXXXXXXXXX XX XXXXXXX XXXXXXXX XXXXXX XXX XXXXXXXX XXXXXXX
X XXXXXXX XXX XXXXXXXX XXXXXXXXX XXXXXXXX XXXXXX XX XXXXXXX XXXXXXXXXXX XXXX
XXXXXXX XXXXXXXX XX XXXXXXXX
X XXXXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXXXX XX XXXXXXX XXXXXXXXX XXX
XXXXXXXXXXX XX XXXXXX XXXX XXX XX XXXX XXXXXXX XXXXXXXXXX
X XXXXXXX XXXX XXXXXXX XXXX XXXXXX XX XXXX XXX XXXXXXXX XXXX XXX XXX XXXXXXX
XXXXXXX XX XXXXXX XXXXXXXXX XX XXXXXXXXXX XXXXXXXXX
X XXX XXXX XXXXX XX XXXXXXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXX XX XXXXXXX XXX
XXXXXXXXXX XXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 5

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXXXX X XXXXX XXXXXXXX XXXX XXXX XXXXXXXX XXXXXXXXX XXXXXXXX
XXXXXXXXXX XXX XXX XXX XX XXXXXXXXXXX XXXXX XXXXX
X XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXX XXXX XX XXXXXXX XXXXXXXX XXX
XXXXXXXXXX XXXXXXXX XXX XXXXXXX XXXXXXXX XX XXX XXXXXXX XXXXXXXX

E
X XXXXXXXX XXXXX XXXXX XX XXXXXXXXXXXXX XXXXXXX XXX XXXXXXX XXXXXXXX XXX
XXXXX XXXXXX XX XXXXXXXXXXX XXX XXXXXXX XXXXXXXX
X XXXXXXX X XXXX XXXXXXX XXXXXXXX XXXXXXX XXXXXXXXXXX XXXXXXXXXXX XXXXXXXXX

L
XXXX XXXXX XXXX XXX XXXXXXX XXXXX XXXXXX XXXXXXXXXXX
X XXXXXXX XXX XXXXXXXXX XXXX XXXXX XXXXXXX XX XXXXX XXXXXXXXX XX XXX
XXXXXXXXX XXXXXXXXXXX XXXXXXXXXX

P
X XXXXXXXXX X XXXXXXXXXX XXXX XXX XXXXX XXXXXXX XXXX XXXXXXX XXXXXXX
XXXXXXXXXX XX XXXXXXXX XXXX XX XXXXX XXXX XXXXXXXXX XXX XXXXXXXXXX
X XXXXXXX XXXXXXX XXXXXX XXX XXXXXX XX XXX XXXXXXX XXXXXXX XX XXXXXXXX
XXXXXXXXX XXXXXXX XXX XXXXXXX XXXXXX XXXXXXXXX

M
X XXXXXXX X XXXXXXXXX XXXXX XX XXX XXXXXXX XXX XXXXXX XXX XXXXXXXXX XXXXXXX
XXX XXXXXXX XXX XXXXXXXXXXX XXXXXXXXX
X XXXXXXXXX X XXXXXX XX XXXXXXXXXXX XXXXXX XXXX XXXXX XXXXXXXXXX XX XXXXXXX

A
XXXX XXXXXX XXXXX XX XXXXXXXXXXXX XXXXXXXXXXXXXXX
X XXXXXX XXX XXXXXXX XX XXXXXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXX XXXXXX
XXXXXXX XXXXXXX XXX XXXXXXX XX XXXXXX XX XXXXXXXXXXX
X XXXXXXXXX XXX XXXXXX XX XXXXXXXXXX XXXXXX XXXXX XXX XXXX XXXXX XXXXXX XX

S
XXXXXXXX XXX XXXX XX XXXXXXXXXX
X XXXXXXX XXXXXXXX XXX XXXXXXX XX XXXXXX XXXXXXX XXXXXXXXXX XXX XXXXXX
XXXXXXXXXXX XXXXXX XXXXXXXXXXXXXXX
X XXXXXXX XXXXXX XXXXXXXX XX XXXXXXX XXXXXXXXXXX XXXXX XXXXXXXXX XX XXXXXX
XXXXX XX XXXXXXXXXXXX XXXXX XX XXXXXXXXX XXXXXX
X XXXXXXX XXXXXXXX XXXXXXX XXXXXX XXX XXXX XX XXXXXXXX XXXXXXX XXXXXXXX XXX
XXXXXXXXX XXXXXXXX
X XXXXXXX XXXXX XXXXX XX XXXXXXXXX XX XXXXXX XXXX XXX XXXXXX XXX XX XXX XXXXXX
XXXXXXXXX XXXXXX XXX XXXXXX XXXXXXXXXXXXX
X XXXXXX XXX XXXXXXXX XXX XXXXXXXXXX XXXXXXX XX XXXXXXX XXXXXX XXXXXXXXX XXX
XXXXXXX XXXX XXXXXXX XXXXXXXXXX
X XXXXXXXX XXXXX XXXXX XX XXXXXXXXXXXXX XXXXXXX XXXXXXX XXX XXXX XXXXXXX XX
XXXXXXXXXX XXXXXXX XXXXXXXXX XXX XXXXX XXXXXXXXXX
X XXXXXXX XXXXXXX XXXXXX XXX XXXXXXXXXXX XX XXXXXXXXX XXXXXXXXXX XX XXXXXXXX
XXX XXXXXXX XXXXXX XXXXXXXX XXXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 6

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXX XX XXXXX XXX XXXXXXXXXX XX
XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXXXXX
X XXXXXXXX XXXXXXXX XXXXXXX XX XXX XXXXXXXXX XXXXXXX XX XXXXXXXXX XXX XXXXXX
XXXXXXXX XXX XXXXXXXXXXX XXXXXXXX XXXX XXXXXXXX

E
X XXXXXXX X XXXXXXXXXXXXXXX XXXXXXXXXX XX XXX XXXXXXXXX XX XXXXXX XXX
XXXXXXXXXX XXX XX XXXX XXXXXXX XXXXXXXXXX

L
X XXX XXXXX XXXXXXXXXXX XXXXXXX XXXX XX XXXX XXXXX XX XXXXXXXXXXX XXXXX
XXXXXX XXX XXXXXXXX XXXXXXX XXXXXXXX
X XXXXXX XXX XXXXXXX XXXXXXXX XX XXX XXXX XXXX XXXX XXXXXXX XXX XXX XXXXXXXXX
XX XXXXXXXX XXX XXXXXXXXX XXXXXXXXX XXXXXXX

P
X XXXXXXXXX X XXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXX XXXXXXXXX XX XXX XXXXXX
XXXXXXXXXXXXXX XX XXXXX XX XXXXXXXX
X XXXXXXX XXX XXXXXXXX XXXXXX XXXXXXX XXXXXXXXXX XX XXXXXX XX XXXXXXX
XXXXXXXXXX XXXXXX XXXXXX XXXXXXXXXX

M
X XXXXXXXXX XXXXXXXX XXX XXXX XXX XXXXXXXXX XX XXX XXXXXX XXXXXX XXX
XXXXXXXXXXX XX XXXXXX XXX XXXX XX XXXXXX XXXXXXXX
X XXXXXXX XXX XXXXXXX XXX XXX XX XXXXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXX

A
XXXXXX XXXXXXXXX XXXXXX XXX XXXXXX XXXXXXXX
X XXXXXXX XXX XXXXXXXX XX XXXXXXXXX XXXXXXXX XXXX XXXXXXXXXXXX XXX
XXXXXXXXXX XXXXXXXXX XXXXXXXX XXXXXXX
X XXX XXXXXXXXX XXXXXXX XXXXX XXXXXXXX XX XXXXXXX XXX XXXXXXX XX XXXXXXXXXX

S
XXXXXXXX XXXXX XXXXXX
X XXXXX XXXXXX XX XXX XXXX XXXX XX XXXXXXXXX XXXXXXXXX XXXX XXX XXXXXXX XXXXX
XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXXXXX
X XXXXXXXX XXXXXXX XXXXXX XXX XXXXXXXXXXX XX XXXXXXXX XXX XXXXXXX XXXXXXXXX
XXXXX XXXXXXX XX XXX XXXXXXX XX XXXXXXXXXX

X XXXXXX XXX XXXXXXXXX XXX XXXXXXX XXXXXXXXXXX XXXXXXXX XXXXXXXXXX

XXXXXXXXX XXXXXX XXXX XX XXXXXXX XXXXXX XXXXXXXX XXX XXXXXXXXXXXXXXX
XXXXXXXXX
X XXX XXXXXXXXXX XXXXX XXXX XXX XXXXXXXXX XXXXXXXX XX XXX XXXXXXXX XXXXXX XX
XXXXXXX XXXXXXXX XXX XXXXXXXXXXXXX XXXXXXXXXXXXXX
X XXXXXXXXX XXXXXX XXXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXXXXXXX XXXXXXXXX XX
XXXXX XXXX XXX XXXXXX XX XXXXXXXXXXXXX XXXXXXXXXXXX
X XXXXXXXX XXXXX XXXXXXXXXXXXX XXXX XXXX XXXXXXX XXXXXXXXX XXX XXXXXXXXXXX
XX XXX XX XXXXXXXX XXXXX XX XXXXXXX XXXXXXXXXXX XXXXXXXXXX
X XXXXXXX XXXXXXXX XXXXXXXX XX XXXXXXXX XX XXXXXX XXX XXXX XX XXXXXXXXX
XXXXXXXXXX XX XXXXX XXXXX XX XXXXXXXX XXX XXXXXX XXXXXXXX XXXXXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 7

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXX XXXXXXXXX XX XXXXXX XXXX XXX
XXXXXXXXXXX XXXXXXXXX XXX XXXXXXXXXXX XX XXXXXXXX XXXX XXXXX XX XXXXXXXXXXX
XXXXXXXXX XXXXXX
X XXXXXXX XXXXXXXXXXXXX XXXXXXXX XXXXXXXX XX XXX XXXX XXXXXXXX XXX XXXXXXXX

E
XX XXXXXXXXX XX XXXXXX XXX XXXXX XXX XXXXXXXXXXXXX XXXXX XXXXXXXXX XXXXXXX
XXX XXXXXXXXX XXXXXXXXXXX
X XXXXXXX XXXXX XXX XXXXXXX XXXXXXX XXXXXXX XX XXX XXXXXX XXX XXXXXXXX

L
XXXXXXXX XXXXXXX XX XXXXX XXXXXX XXXXXXXX XXX XXXXX
X XXXXXXXXX X XXXXXXXXX XXX XXXXXXXXXX XXXXX XXXX XXX XXXXXXXX XXXX XX XXXXX
XXXXXXXX XX XXXX XXXXX XXXXXXXX XXXXXXXX XX XXX XXXXX
X XXXXXXXXX X XXXXX XXXXXX XXXXX XXXXXXX XXXX XX XX XXXXXXX XXXX XXXXXXX

P
XXXXXX XXXXXXXXX XXX XXXXXXX XXXXXXXXX XXXXXXXXXX XX XXXXXXXXXX
X XXXXXXX XXX XXXXXXX XX XXXXXXXX XXXXX XXXXX XXXXXXXX XXXXXXXXX XXXXXXXXX
XX XXXXXX XX XXXXXXX XXXXXX XX XXXXX XXX XXXXXXXX XXXXXXXXXX XXXX XXXXXXXX
XXXXXXXXX

M
X XXXXXXXX XXXXXXX XXXXXXX XXX XXXXXXX XX XXX XXXXXXXX XXXXXXXXXX XX
XXXXXXXXXXX XXXXXXX XXXXXXX XXXX XXXX XXXXXXXXX XXX XXXXXXX XXXXXXX
XXXXXXXXX XXXXXXX

A
X XXXXXX XXX XXXXXXXXXXX XXXXX XXX XXXXXXX XX XXXXXX XXXXXX XXXXXXXX
XXXXXXXXXX XX XXXXXX XXXXXX XXX XXXXXXX
X XXX XXXXXXXXXX XXXX XXXX XX XXXXXX XX XXXXXXXXX XXXX XXXXXXX XX XXXXXX
XXXXX XXXXXX

S
X XXXXX XXXX XXXX XXXXXXXXXX XXX XXXXXXXXX XXXXXX XXXXXXX XXXXXX XXXXXXXXXX
XXXXXXXXXXX XXXXX XX XXXXXXX XXXXXXXXXX XXXXXXXXX
X XXXXXXX X XXXXXXXX XXXX XXXXXXXXXX XXXXXX XXXXXXXXXX XXX XXXXXXXXXXX XXXXX
X XXXXXXX XXXXXXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXX XXXX XX XXXXXXX
XXXXXX XXXXXX XXX XXXXXXXXXXXXXXX XXXXXXXXX
X XXXXXXXXX X XXXXXXXXXXXXXX XXXXXX XXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXX
XXXXXXXXXXX XXXXXXXXXXX
X XXXX XXX XXXXXXXXXXX XXXX XXXXX XXX XXXX XX XXXXXXXXXXXX XX XXXXXXXX XXXX
XXX XXXX XXXXXXXX
X XXX XXXX XXXXXXX XXXXXXXXXX XXXXXXXX XXXXXXXX XX XXXXXXXXXX XXX XXXX XXX
XXXXXXXX XXX XXXX XX XXXXXXXX XXXXXXXXX
X XXXXXXXXX XXXXXXX XXXXXXXXX XXX XXXXX XXX XXXXXXX XX XXXX XXXX XXX XXXX
XXXXXXXXXX XXXXXX
X XXXXXXXXX XXXXX XXXXXXXXXXXXX XXXXXXXXX XXX XXXXXX XXXXXXX XX XXXXX XXXXXX
XX XXXXXXX XXXXXXXXXXX XXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 8

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXX XXXXXXXX XX XXXX XXXXXXX XXXXXXX XX
XXX XXXXXX XXXXXXXXXX XXX XXXXXX XXXXXXXXXX XXXXXXXXXXX

X XXXXXXX X XXXX XXXXXXXXXX XX XXXXXXXX XXX XXXXXXXX XXXXXXXXX XXXXXXX

E
XXXXXXXXXX XXXX XXX XXXXXXXX XX XXXXX XXXXXXXXX
X XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXX XXXX XX XXXXXXX XXXXXX
XXXXXXXX XXX XXXXXXXXXX XXXXX XX XXX XXXXXXX XXXXXXXX XXXXX XXXXXXXXXX

L
X XXXXXXX XXXXX XXX XXXXX XXXXXXXXX XXXXXXXXXX XX XXXXXXXXXXXXX XXXXXX XXX
XXXXXXXXXX XXXXXXXXXXX
X XXXXXXXXX XXXXXX XXXXX XXXXXXXXXXX XX XXXXXXX XXXXXX XXXXXXXXX XXXXXXXXXX
XXXX XXXXXXX XXXXXX

P
X XXXXXX XXXX XXX XXXXX XXXXXXXX XXXX XX XXXXX XXXXXX XX XXXXXX XXXXXX XXX
XXXXXX XXXXXXXXX XX XXXXXXXXXXXXXXXXXX XXXXXXXXXXX
X XXXXX XXXXXXX XX XXX XXXX XXXXXXXX XXX XXXXXXXX XXXXXXXXXX XXX XXXXXXXXX
XXXXXXXXXX XXX XXXXX XXXXXXXX

M
X XXXXXXXXX XX XXXXXXXXX XXXXXXXX XXXX XX XXXXXXX XXXXXX XX XXXXXXXXXX
XXXXXXXXX XX XXXXXXXXX XXXXXXXXXX
X XXXXXXXX XXXXX XXX XXXXXXXXX XXXX XXXXX XX XXXXXXXX XXX XXXX XX XXXXXXXXXX

A
XXXXXXX XXXX XXXXX XX XXXXXXXXX XXXXXXXXXX
X XXXXX XXXXXXX XXXXXXXXXX XXXXX XXX XXXX XXXX XXXXXXXX XXXXX XX XXXXXXX
XXXXXXX XXXXXXXX XXXXXX XX XXXXX XXXXXXXX
X XXXXXX XXXXXXX XX XXXXXXX XXXX XXXXXXXXX XXXXX XXXXXXXX XXXXX XXX XXXXXXXX

S
XX XXXXXXXXXXX XX XX XXXXXX
X XXX XXXXXXXXXX XXXX XX XXXXXXXXXX XXXX XX XXXXX XX XXXXXXXXXXX XXXXXXX
XXXXXXXX XX XXXXX XXXXXX XXXX XXXXXXX XXXX XXXXXXXXX XXXXXXXXXX
X XXXXXXXXX XXXXXXX XXX XXXXXXXX XXXXXXXXXX XXXX XXX XXXXXXX XXX
XXXXXXXXXXXX XXXXXXXXX XXXXX XX XXXXXXX XXXXX XX XXXXXXXXX
X XXXXX XXXXXX XX XXXXXXXX XXXXX XX XXXXXXXXXX XXXXXXXXX XXX XXX XXXXXXX XXX
XXXXX XX XXXXXXXXX XXXXXX
X XXXXXXX XXX XXXXXXXXX X XXXXXXXXX XXXXX XXXXXXXXXX XXXXXXX XX XXXXXX
XXXXXX XXX XXXX XXXXXXX XX XXXXX XXXXXXXXX XXXX XXX XXXXX

X XXXXXX XXX XXXXXXXXX XXX XXXXXXX XXXX XXXXXX XXXXXXX XX XXXXXX XXX
XXXXXXXXXX XX XXXXX XXXXX
X XXXXXXX XXXXXXXX XX XXXX XXXXXXXX XXXXXXXXXX XXX XXXXXXXXX XX XXXXXXXX
XXXXXXXX XX XXXXX XXXXXX
X XXX XXXXXXXX XXXXXXX XX XXXXX XX XXXXX XXXXXXXX XXXXXXXX XXXXXX
XXXXXXXXXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 9

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXXXX X XXXXX XXXX XXXXXX XX XXXXXX XX XXXXXXXXX XXXXXXXXXX XXXXXXXX
XXXX XX XXXXX XXXXX
X XXXXXXXXX XXX XX XXXXXXX XXXXXXXXXXXXX XXXXX XXXXXXXX XX XXXXXXXX XXXXXXXX
XX XXXXXXXX XXXXXX

E
X XXXXXXXXX XXXXXXXX XXX XXXXXX XXXXXXXX XXXXXXXX XX XXXXXXX XXXXXXXXX
XXXXXXXX XXX XXXXXXX XXX XXXXXXX
X XXXXXXXX XXXXXXX XXXXXX XXXX XXXXXX XXXX XX XXXXXXXXXX XXXX XXX XXXXXXXX

L
XXXXX XXXXX XX XXXXXXXX XXXX XX XXXXXXXXX XX XXXX XXXX XXX XX XXXXXXXX
X XXXXXX XXXXXXXXX XXXX XXXXXX XXXXXXX XX XXXXXXXX XXXXX XXX XXX XXXXXXXX
X XXXXXX XXXXXXX XXXXXXXX XX X XXXXXXXXXXX XXXXX XX XXXXXXXX XXXXXXXX

P
XXXXXXX XXXXXX XXX XXXXXXXXXXX XXXXXXXXXXXX
X XXXXXXX XXXXX XX XXX XXXXXXXXXX XX XXXXXXXX XXXXXXXXX XXXX XXXXX XXXXXXX XX
XXXXXXXX XXX XXXXXXXXX
X XXXXXXX XXXXXXXXXX XXXXXXX XX XXXXXXXX XX XXXXXX XXXXXXXXXX XXX XXXXXXXXXX
XXX XXXXXXX

M
X XXXXXXXXX XXX XXX XX XXXXXXXXXX XXXXX XX XXXXXXXXXXX XXX XXXXX XX XXXXXXXXX
XXXXXX XXX XXXXXXX XX XXXXXXXX
X XXXXXXX XXXXXXX XXX XXXXXXXXXXXX XXX XXXXXXXXX XX XXXXXX XXX XXXXXXXXX

A
XXXXXXXXXX XXXXXXXX XXX XXXXX XXXXXX
X XXXXXXX XXXXXXXXXXX XXXXX XXXXX XX XXXXXXXXX XXXXXXXXXXX XX XXXXX XXXXXX
XXXXXXXX XXXX XXX XXXXX XXXXXXXXXXXX

S
X XXXXXXX XXXXXXXXXXXXX XXXXXXXX XXXXXXXX XXX XXXXXXXXX XX XXXXXXX XXXX
XXXXX XXXXXXX XXXXXXXXXXX XXXXXXXX XXXX XXXXXXXXXX XXX XXXXXXXXXX XX
XXXXXXXXXX
X XXXXXXX XXX XXXXXXXXX XXXXXXXX XXXXXXXXX XXXXXXX XXX XXXXXX XX XXXXX
XXXXXXXXX XXXX XXXX XXXXXX XXXXXXXX XXXXXXX XXXXXXXXX
X XXXXXXXXX X XXXXXXXXXXXX XXXXXXXXX XXXXXXXXX XXXX XXXXXXXXXXXX
XXXXXXXXXXXX XXX XXXXXXX XXX XXXXXXXXXX XXXXXXXXXX
X XXX XXXXXX XXXXXXXXXX XX XXXXX XX XXXXXXXXX XX XXXXXXX XXXX XXXXXXX XXX
XXXXXXX XXXX XXXXXXX
X XXXXXXX XXXXXXXX XXXXXXXXXXX XXXXXX XX XXXXXXXXXXX XXXXXXXXXXX XX XXXXXX
XXXXXXXX XX XXXX XXXXXXXXXXX
X XXXXXXXXX X XXXXXXXXXX XXXXXXXXXXXX XXXXXX XXXXX X XXXXXX XXXXXXXX
XXXXXXXX XXX XXXX XXXXX XXXXXXX XXXXXX XXXXXXXXX XXX XXXXX
X XXXXXXX XXXXXXX XXXXXXXXX XXXXXXX XX XXXXXXXXXXXXX XXX XXXXX XXXXXXXX XXX
XXXX XX XXXXX XXXXX XXXXXX XXXXXX XXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 10

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXX XXXXX XXXXXXX XXXXXX XXX XXXX XXXX XXXXXXXXXXXX XXX XXXXX
XXXXXXXXXX XXXX XXXXXXXXXXX XXX XXXXXXXXX XXXX XXXXXXXXXX
X XXXXXXX XXXXXXXXXX XXXX XXX XXXXXXXX XX XXXXXX XXX XXXXXXXX XXXXXXXXXX
XXXXXX XXX XXXXXXXXXXXX

E
X XXXXXXXX XXXXXXX XXXXXXXXXXX XXX XXXXXXXXXXX XX XXXXXXXXX XX XXXXXXX
XXXXXXXXXXXX XXXX XXXXX XXXX XX XXXXXXXXX
X XXXXXX XX XXXXXXXX XXXXXXXX XXXX XXXXXXXXX XXXXX XX XXXX XX XXXX XX

L
XXXXXXXX XX XXXX XXXXXXXXX XXXXXX XX XXXXXXXX XXXXXXX
X XXXXXX XXXXXX XXXXXXXXXXXXX XXXXXXX XXXX XXXXXXX XXXXXX XXX XXXXXXX XX
XXXXXX XXXX XXXXXXX XXXXXXX XXX XXXXXXXXXXX XXXXXXXX XXXXX

P
X XXXXXX XXX XXXXXX XXXXXXXXXX XXXXXXXXXXXX XX XXXXXXXXXXX XXXXXXXXXXXXX
XXXXXXXXXXXX XXX XXXXXXX XXXXXXX XXXX XXXX XXXXXXXXXX

X XXXXXXXXX X XXXXXXXXXX XXXXXXXX XXXXXXX XXX XXX XXXXXXXXXX XXXXXXXX XXXX

XXXXXXXXXX XXXX XXXX XX XXX XXXXXXX XXXXXXX XXX XXX XXXXXXXXXX XXXXXX

M
X XXXXXXX XXXXXXX XXXXXXXXX XXXXXXX XX XXXXXXXXX XXXX XXXXXXXXX XXXXXXXXX
XXX XXXX XXX XXXXX XXXXXXXX XXXXX XXX XXXXXXXXXX XXXXXXXX
X XXXXXXX XXXXXX XXXXXXX XXXX XXXXXXXXXX XXXX XXXXXXX XXXX XXXX XXX XXXXXX

A
XXXXX XXX XXXXXXX XXXXXXX XXX XXXX XXXXXXXXXX
X XXXXXXX XXXXXX XXXXXXXXX XX XXXXXXXX XXXXXXXXX XXXXXXXXXX XXXXXX XXXX
XXXXXXXXX XXX XXXXXXXXXXXXXX XX XXXXXXXXXX XXXXXXXX
X XXXXX XXXXXXXX XXXX XXX XXXX XXXX XX XXXXXXXXXXXX XXXXXXXXXX XXXXXXXX

S
XXXXXXXX XXXXXXXX XX XXXXX XX XXXXXXXX XXXX XXXXXXXX
X XXXXXXXXX X XXXXX XXXXXXXXXXXXX XXXXXXXX XXXXX XXXXXXXX XX XXXXXXX XXXXXX
XXX XXXXXXX XXX XXXXXXXXXXXX XXXXXXXXXXX XX XXXXX XXXXXX XXXXXX XX XXXXXXXX
X XXXXXXXXX XXX XXXXXXXXX XXXXXX XXXXX XXXXXXX XXXXXXXXXX XXXXX XXXX
XXXXXXXXXXX XXXX XXXXXXXXXX XX XXXXXXXX XXXXXXX XXXXX XXXXXXX
X XXX XXXXXX XXXXXXXXXX XXXXX XXXX XX XXXXXXX XXX XXXXX XXXXXXXX XX XXXXXXX
XXXXXXXXX XXXX XXXXX XXX XXXXXXXXX XXXXXXXXX XXXXXXXX
X XXXXXXXXX X XXXXX XXXXXX XXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX XXX XXXXXX
XXXX XXXXXXXXXXX XXXXXXXXX XXX XXX XXXXX XXXXXXXX XXX XXXXXX XX XXXXXXXXXX
X XXXXXXXXX X XXXXXXXXX XXXXXXX XXXX XXXXXXXXXXX XXXXXX XXXX XXXXXX
XXXXXXXXXXX XXX XXXXXXXXX XXXXXXX XXX XXXXXXXXXX XXXX XXXXXXXXXX
X XXXXXXX XXX XXXXXXXX XX XXXXXXX XXXXXXXXXXXXXXX XXXXXXXX XXXX XXXXXXXXXX
XXXXX XXXX XXXXX XXXX XX XXXXXXX XXXXXXXX
X XXXXXXX XXXXXXXX XX XXXXXX XXXXXX XXXXXXXXX XXXXX XX XXXXXXXXXX XXXXXXX
XXXXXXXXXX XXXXX XX XXXXXX XXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 11

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXXX XXXXXXXX XXXXXXXXXXX XXX XXXXXX XX XXXXXXXX XXX XXXXXXXXXXXXXX XX
XXXXXXXXX XXXXX XXXXXX XXX XXXXXXX XXXX XXXXXXXXX
X XXXXXXX XXXXXXXXXXX XXXX XX XXXXXXX XX XXXXXXXX XX XXXXXXX XXXXXXXXXX XXX
XXXXXXX XXXXXXXXX XXXXXXXX XX XXXXXX XXXX XXX XXXXXXX XXXXXXXXX XXX XX XXXXX

E
XXXXXXXXXX

X XXXXXXXX X XXXXXXXXXX XXXXXXX XXXX XXX XXXXXXXX XXXXXX XXXX XXXXX XXXXXXX

L
XX XXXXXX XXX XXXX XX XXXXXXXXXX
X XXXXXX XXX XXXXXXX XXXX XX XXXXXXXX XX XXXXXXX XXXXXXXXXX XXXXXX XXXXX
XXXXXXXX XXXXXXXX XX XXXXX XXXXXXXXXXX
X XXXXXXXXX XXX XXX XX XXXXXXXXXXXXXXX XXXXX XXX XXXXXXXX XXX XXX XXXXXXXXX

P
XXXXXXXX XX XXX XXXXX XXXXXXX XXXXXXXXXX
X XXXXXXX XXXXXX XXXXXXX XX XXXXXX XXXXXXX XX XXXXX XXXXX XXXXXX XXX XXXX XX
XXXXXX XXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXXXX
X XXXXXXX XXXXXXX XXXXXXXXXXX XXXXXX XX XXXXX XXXXXXXX XXX XXXXXXXXXX

M
XXXXXXXX XX XXXXXX XXXX XXX XXXXXXXXXX XXX XXXXXXXX
X XXXXXXX XXX XXXXXXX XXXXXXXX XXXXXXXXX XXXXXXXXXX XXX XXXXXXXX XXXXXXXXX
XXX XXX XX XXXXXXXX XXXX XXXXXXXXXX

A
X XXXXX XXXXXX XX XXX XXXXXXX XXXX XXX XXXXXXXXXXXX XXXXXXXXX XX XXXXXXX
XXXXXXXXXX
X XXX XXXXXXXX XX XXXXXXXX XX XXXXXX XXXX XXXXX XXXXXXXXXX XXXXXXXXXX
XXXXXXXX XXXX XXXXXXX XXXXXX

S
X XXXXX XXX XXXXXXX XX XXXXXXXXX XXXXXXX XXXXXXXXXX XXX XXXXXXXXX XXXXXXXX
XX XXXX XXXXXXXXXX XXX XXXXXXX XXXXXXXXXX XXXXXX
X XXXXXX XXX XXXXXXXXX XXX XXXXXXX XX XXXXXX XXXXXXXXXXXXX XXXXXXX XX
XXXXXXXXXXX XXXXX XXXXX XXXXXXXXXX
X XXXXXXXXX X XXXXXXXXXXXXX XXXXXXX XXXX XX XXXXXXX XXXXXXX XXX XXXXXXXXXXXX
XXXXXXX XXXXXXX XXX XXXXXX XXXXXX
X XXXXXXXXX XXXXXX XXX XXXXXX XXX XXXXXX XXXXXXX XXXXXXXXXX XXXX XX XXXXXXX
XXX XXX XXXXXX XXXXXXX XX XXX XXXXXXX XXXXXXXXXXX

X XXXXXXX X XXXXXXXX XXXXXXXXXX XXXXXXX XXXX XXX XXXX XXXXXXX XX XXXXXX

XXXXXXXX XX XXXXX XX XXXXXXXXX XXX XXXXXXX XXXXXX
X XXX X XXXXXXXX XXXXXXXXX XX XXXXXX XXXX XXX XXXXX XXX XXXXXXXX XXXXXX
XXXXXXX XXX XXXXX
X XXXXXXXXX XXXX XXXXXXXXXXXXX XX XXXXXXX XXXXXXX XXXXXXXXX XXX XXXXXXXXX
XXXXXXXXXXXXX XXX XXXXXXX XX XXXXX XXXXXXXXX
X XXXXXX X XXXXXXXXXX XXXXXX XX XXXX XXXXXX XX XXXXXXX XXXX XXXXXXXXXX XXX
XXXXXX XX XXXXX XXXX XXXX XXXXXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 12

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXXXX X XXXXXXX XXXXXXXXXXXXX XXXXXXXX XX XXXXXXXXXX XXXXXXXXX
XXXXXXX XXX XXXXXXXX XXXXX XXXX XXXXXXXX
X XXXXXXXXX X XXXXXXXX XXX XXXXXXXXXXXXXXX XXXX XXXXXXXXX XXXXXX XXXX XXXXX
XXXXXXXXXXX XXXXXXXX XXXXXXX XXXXXX XXXX XXXXXXX XX XX XXXXX

E
X XXXXXXX XXXXXXXX XXXXXXXX XX XXXXXXXXX XXXXXXXXXXXXX XXXXXX XX XXXXXX XXX
XXXXXX XX XXXXXXXXXXXXXXXXXX
X XXX XXXXXX XXXXXXXXXX XXXX XXXXX XX XXXX XX XXXX XXXXXXXXX XXXXXX XXXXXXXX

L
XXXXXXX XX XXXXXXX
X XXXXXXX XXXXXXX XXXXXXXXXXXX XXXX XXXX XXXXXXX XXX XXXXXXXXX XXXXXX
XXXXXXXX X XXXXX XXXXX XXXX XXX XX XXXXXXXX XX XXXXXXXXXX

P
X XXXXXXXX XXXXXXX XXXXXX XXXXXXXX XXXX XXXXXXXXXXXX XX XXXXXXX XXXXXXXXX
XXXXXXXXXXX XXX XXXXXXXXXX XXX XXXXXX XXXXXXXXXXXX
X XXXXXXX XXXXXX XXXXXXX XXXXXXXXXXXX XXX XXXX XXXX XXX XXXXXXXXXX XXXX XX
XXXXXXX XXXXXXXXX XX XXX XXXXXXXX
X XXXXXX X XXXXX XXXXXX XXXXX XXXXXXX XXXXXXXXXXX XX XXXXX XX XXXXXXX XXXX

M
XXXXXXX XXXXXXXX XXX XXXXXX XXXXX XXX XXXXXXXXX XXXXXXXXXXX

X XXXXXXX XXXXXXX XXXXXXXX XXXXXXXX XX XXXXXX XXX XXXXXXXXX XXX XXXXXXXX

A
XXXX XXXXXXXXX XXXXXXXXXX XXX XXX XXXXXX XXX XX XXXXXX XXXXXXXXXX
X XXXXXXX X XXXXXXXXXXXXX XXXXXXXXX XXXXXXXX XXXX XXXXXXXX XX XXXXXXXX XXXXX
XXXXXXX XXXXXXXXXXX XXXXXXXXX XXXXX XXXXXXXXXXXX XXX XXXXXXX XXXXXXXXXX
X XXXXXX XXX XXXXXX XXXXXXXXXX XXXX XX XXXX XXXXXXXXXXXXXX XXXXXXX XXXXXXXXX

S
XXX XXXXX XXXXX XX XXXXXXX XXXXXXXXX XXX XX XXXX XXXXXXX XXXXXXXXXX
X XXXXXXX XXXXX XXX XXXXXXX XXXXXXX XXXXXXXXXX XXX XXXXXXXX XX XXXXXXXXX
XXXXX XXX XXXXXX XXXXXXXXXX
X XXXXXXX XXXXXXX XXXXXX XX XXXXXXXX XXXXXXXXX XXXXXXXX XXXXXXXXXX XXX
XXXXXXXX XXX XXXXXXXXXXXXX XX XXX XXXXXXX XXXXX
X XXXXXXXXX X XXXXX XXXXXX XXXXXX XXXXXXXXXX XX XXXXXX XXXXXXXXX XXXXXXXXXX
XXX XXXXXXXXXXXXX XX XXXX XX XX XXXXXXXXXX
X XXXXXXX XX XXXXX XXXXXX XXXX XXX XX XXXXXX XXXXXXXXX XX XX XXXXXXXXX XX
XXXXX XXX XXXXXXX XX XXXXX
X XXXXXX XXXXX XXX XXXX XXX XXXXXXXXXX XXX XXXXXXX XXXX XXXXXXXXX XXXXXXXX XX
XXX XXXXXX
X XXXXXXXX XX XXXXXXX XXXX XX XXXXXXXXX XXXXXXXX XXX XXXX XX XX XXXXXXXXX
XXXXXXXXX XXXXXX XXX XXXXXXXXX
X XXXXXXX XXXXXXX XXXXX XXX XXXXXXXX XXX XXX XXXXXX XXXXXXXXXXXX XXX
XXXXXXXXX XXXXXX XXX XXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 13

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXX XXX XXXXXX XXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXXXXX XXXXXXXX
XXXX XXXXXXX XXX XXX XXXXXXX XX XXXXXXXXXXXX
X XXXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXX XXXXX XXXX XXXXX XXXXXXXXXX
XXXXXXXXX XXX XXXXXX XXXX XXX XXXXXXX XXXX XXX XX XXX XX XXXXXXXXXX

E
X XXXXXXX XXXXXX XXXXXXXXXXX XXXXXXXXXXXX XX XXXXXXXX XXX XXXXX XXX
XXXXXXXXX XXXXXXXXXX XXXXXXX XXXXXXXX XX XXXXXXX
X XXXXXXXXX X XXXXXXX XX XXXXXX XXXXX XXXXXXXXX XXXX XXXXXXXXXXX XXXXXXXXX

L
XXXXXXXXX XXXXXXX XXX XXXXXXXXXX XXXXXXXXXXXX XX XXXXXXXXX XXXXXXXXXXX

X XXXXXX XXXX XXX XXXXXXXXX XXX XXXXXXXXX XXX XXXXXXXX XXXXXXXX XXXXX
XXXXXXXXXXXXXX XXXXXXXXXX XXXXXX XXXXXXXXXX XXX XXXXXXXX XXXXXXXXXXX

P
X XXXXXXX X XXXXXXXX XXXXXXXXXX XX XXX XXXXXXXXX XXXXXX XX XXXXXXX XXXX XXX
XXXXXX XXXXXXX XXXX XXXX XXXXXXXXXXX XXXXXXXXXXX
X XXXXXXXXX XXXXX XXXXXXX XX XXXXXXXXX XXXXXX XX XXXXXXX XXXXXXXXXXXX XXXXXX
XX XXXXXXXXXX XXXXXXXXXXXXXXX XXXXXX XXXXXXXXXX XX XXXXXXXXXXXX

M
X XXXXX XXX XXXXXXX XXXXXXXX XX XXXXXXXX XXXXXXXXXX XX XXXX XXXX XXXXXXXXXX
XXXXXXXXX XXX XXXXXXXXXXX XXX XXXXXXX XX XXXXXXXXX XXXXXXXXXX
X XXXXXXXXX X XXXXXX XXXXXXXXX XXXXXX XXX XXXX XXXX XXXXX XXXXX XX XXXXX

A
XXXXXXXXXXXX XXXXX XXX XXXXXXXX XXX XXXX XX XXXXXXXXX XXXXXXXXX XXXX
XXXXXXXXXX
X XXXXXXX X XXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXX XXX XXXXXXXXXX XX XXX XXXXX
XX XXXXXX XXXXX XX XXXXXXXXXX XXXXXXXX XX XXX XXXX XXXXXX XXXXXXXX XXXXXXXX

S
X XXXXXXXXXX XXXX XXXXXXXX XXXXXXXXX XX XXXXXXX XXXXXXX XXXXXXX XXX XXXXXX
XXXXXX XXX XXXXXXXX XX XXXXXXX XXX XXX XXXXXXXX XX XXXXXXXXXXXXXXX
X XXX XXXXXXXXXXXX XXXXXXX XXXX XX XXXX XX XXXXXXXXXXXX XXXXXXX XXXXXXXX
XXXXX XXX XXXXXX XXXXXX XXXXX XXXXXX
X XXXXXXXX XXXXXXXX XXXXXXX XX XXX XXXXXXXXX XX XXXXXXXX XX XXXXXXXXX XXXXXX
XXXXXXXX XX XXXX XXXXXXXX XXXXXXXX XXX XXXXXXX XXXXXX XXXXXXXXX
X XXXXXXXX XXX XXXXX XX XXXXXXXXX XXXXXXXX XXXXXXXXXX XX XXXX XX XX XXXXXXXXX
XXXXXXX XX XXXXXXXX XXXXXX XXXXXX XXX XXXXXXXX XXXXXXXX
X XXXXXX XXX XXXXXX XXXXXXXX XXXXXXXXXX XXXXXXXXX XX XXXXXXXXXXX
XXXXXXXXXXXX XXX XXXXXXX XXX XXXXX XXXXXXXXXX XXXXXXX XXXXXXX XXXXXX
XXXXXXX

X XXXXXX XXX XXXXXXXXX XX XXXXXXXXX XXX XXXXXX XX XXXXXXXXXX XXXXX XX

XXXXXXXX XXXXXXXX
X XXX XXXXXXXX XX XXXXXXX XXXXX XXXX XXX XXXXXX XXX XXXXXXX XX XXXXXXX XXX
XXXXXXXX XXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 14

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXX XXXXXXX XXXXXXXXXXX XX XXXXXXX XXXXX XX XXXXXXXX XXX XXXXXXX
XXXXXXXXX XXXXXXXX XXXXXXXX
X XXXXXXX XXXX XXXXXXX XXXXX XXXX XXXXXXXXXXXXXXX XXXX XX XXXXXXXXX XXXX
XXXXXXXXXXXX

E
X XXXXXXXXX XXX XXXXXXX X XXXXXXXXXXXXXXX XXXXXX XX XXXX XXXXXX XXXX XXXX
XXXXXXXXXXXXX
X XXXXXX XXX XXXXX XXXXXXX XXXXXX XX XXXXX XXX XXX XXXXXX XXXXX XXXXX

L
XXXXXXXXXX XXXXXXXX
X XXXXXXX XXXXXXXX XXXXXXXX XX XXXXXXX XXXXX XX XXXXXX XXXX XXXXXXXXXX XX XXX
XXXXXX

P
X XXXXX XXXXXXX XX XXXXXX XXXXXX XXXXXXXX XXXXXXXXXX XX XXXXXXX XXXXXXXXX
XXXX XXXXX XXXX XX XXXXXXX
X XXX XXXXX XXX XXXXXXXX XX XXXX XXXXXXXXX XX XXXXXXXXX XXXXXXX XX XXXX
XXXXXX
X XXXXXXXXX XXXXXX XXX XXXXXXXXX XXXXXXX XXXXXX XX XXXXX XXXXXXXXXXXX XX

M
XXXXXXXXX XXX XXXXXXXXXX
X XXXXXX XXXXX XXX XXXXXXXXX XXX XXXXXXXX XX XXXXXXX XXXXX XXXXXXXXXXX XXXXX
XXXX

A
X XXXXXXX XXXXXXX XXXXX XX XXXXXX XXXXXXX XX XXX XXXXXXXXXX XX XXXXXXXXXXX
XXXX XXXXXXXXXXX
X XXXXXXX XXXXXXXXX XXXX XX XXXXXXXXXXXX XXXXX XX XXXXXX XXXX XXXXX
XXXXXXXXXX XXXX XXXXXXXXX XXXXXXX

S X XXXXXXX XXXXXXXX XXXXXXXX XXXXXXXX XXX XXXXXXXXX XXXXXXXXXXX XXX

XXXXXXXXXXXX XXXXXXXXX XX XXXXXX XXXX XXXXXXXXXX XXX XXXXXXXXXX XXX
XXXXXXXXXXX XX XXXXXXXXXXXX
X XXXXXXXXX X XXXXXXXXXXXXX XXXXXXXXX XXXX XXXXXXX XXX XXXXXXXXXX XXXXXX XX
XX XXXXXXX XXXXXX XXXXXXXX XXXXXXXXXXXXX XXXXXXXX XXX XXXX XX XXXXXXX
XXXXXXXX XXXXXX
X XXXXXX XXXXXXXXXXX XXXX XXXXXXX XX XXXXXXX XXXXXXXXXXXX XXXXXXXXXXX
XXXXXXXXX XXXXXXXXXX XXXXXXXX XXX XXXXXXXXX XX XXXX XXXXXXXXXXX XXXXXXXXXX
X XXXXXXXX XXXXXXX XXXXXXXXX XXXXXXX XX XXXXXXXXXXXX XXXXXXXXXX XX XXXX
XXXXX XXXXXXX XX XXX XXXXXXX XX XXXXXXXXXXXX XX XXXXXXXXXX
X XXXXXXX XXXXXXXXXXX XXXX XX XXXXXXX XXXXXXX XXXXXXXX XX XXXXX XXX XXXXXX
XXXXXXXXX XXXXXXXXXXX XX XXXX XXXXX XXXXXXXX XXXX XX XXXXXXXXXXX XXX XXXXXXX
X XXXXXXXXX XXXXX XXXXXXXXXXXXX XXXXXXXXX XXX XXXXXXXXX XXXXXXXXXXXXX XX
XXXXXX XXXXX XXXXXX XXXXXXXXXXX XX XXXXXX XXXXX XXXXXXXXXXXXXX
X XXXXXX XXXXXXXXXXXXXXXX XXXXX XXXXXXX XXXXXXXXX XXXXXXXXXXXX XX XXXXXXXXX
XXXXXXXXX XXXXXXXXXXXX XXXXXX XXXXXXXXXXXX XXX XXXXXX XXXXXXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 15

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXXXXXX XXXXXX XXXXXXXXXXX XX XXXXX XXX XXXXXXXXXXXXX XXX XXXXXXXX XX XXX
XXXXXXXX XXXXXXXXXXXXX XXXXXXXXX XX XXXXXXXXXX
X XXXXXXXXX X XXXXXXX XX XXXXXX XXXXX XXXXXXXXX XXXX XXXXXXXXX XX XXXXX XX XX
XXXX XXXXXX XXX XXXXXX XX XXXXXXXXXXXX XX XXXXXXX XX XXXXXXXXXX XXX XXXX

E
XXXXXXXXXXX
X XXXXXXX X XXXXXX XXXXXXXX XXXXXX XXXXXXXXXXXXXXXXX XX XXXXXXXXXXX XXXXXX
XXX XXXXXXX XXXXXXXXXX XXXXXXXXX XXXXX XX XXXXXXXXXX XXXXXXXXXXX XXX

L
XXXXXXXXX

X XXXXXXX XXXXXXXX XXXXXXXX XXX XXXXX XX XXXXXXX XXXXX XXXXXXXXXXX

XXXXXXXXXX XX XXXXXXXX XXXXXXX

P
X XXXXXXXXX X XXXXXXXXXXXX XXXXXX XXXXX XXXXXXX XXXX XXXXXX XXXXXXXX
XXXXXXXXXXXX XXXXXX XXXXXXXXXXX
X XXX XXXXXXX XXXXXX XXX XXXXXXXXX XXXXXXX XX XXXXXX XXXXXXX XXXXXXXXXXXX
XXXXXX XXXXXXXXXXX

M
X XXXXXX XXX XXXXXXX XXXXX XXX XXXXXXX XXXXXXXX XXX XXXXXXXXX XXXXXXXXX XX
XXXXXXXX XXXX XXX XXXXX XXXXXXXXXX
X XXXXXXX X XXXXXXXX XXXXXXXXX XXXXXXXXX XXXXX XXX XXXXXXXXXX XXXX XXXXXXXX
XXXXXXXX XXXXXXXXXXXX XXX XXXXXX XXXXXXX

A
X XXXXXXXXX XXXXX XXXXXXXXX XXXXXX XX XXXXXX XXXXXXXX XXX XXXXXXXXXXX XX
XXXXX XXXXXXXXXXX
X XXXXXX XXXXXXXX XXXXXXXXX XXX XXXXXXXX XXX XXXXXXXX XXXXXXXXX XX XXXXX

S
XXXXX XXXXXX
X XXXXX XXXXXX XXXX XXX XXXXXX XXXX XXXXXXX XXXXX XX XXXXX XXXXXXXXX XXXXXX
XXX XXXXXX
X XXXXXXX XXXXXXX XXXXXXXXXXX XX XXXXXXX XXXXXXXXXX XX XXXXXXXX XXX XXXXXXX
XXX XXXXXXXX XXXXXXX XXXXXXXXXX
X XXXXXX XXXXXX XXXXXXXX XX XXXXXXXX XXXXXX XXXX XXXXXX XXXXXX XXX XXXXXXXXX
XXXXX XXXXXXX XXX XXXXXXX
X XXXXXXXXX X XXXXXXXXXXXXX XXXXXXXX XXX XXXXXXXXX XXXXXXXXXXXXX XX XXXXXXX
XXXXXXXXXX XXXXXX XXXXXXXXXXX
X XXXXXXX XXXXX XXXXXXX XXX XXXXXXXX XX XXXXXXX XXXXX XX XXXXX XXXXXX
XXXXXXXXX XXX XXXXXXXX XX XXXXXXXXXX

X XXXXXXX XXXXXXXX XXXXXXXX XXX XXXXXXX XX XXXXXXXX XXXX XXXXXXXXX XXX

XXXXXXXXXX XXXXXXXXXXX
X XXXXXXXXX X XXXXXXXXXXXX XXXXXX XXXXX X XXXXXX XXXXXX XXXXXXXX XXX
XXXXXXXX XXXX XXX XXXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 16

 JOB STEP POTENTIAL HAZARDS IR CONTROL MEASURES RR

INITIAL RESIDUAL
SPECIFIC WORK STEPS HAZARDS THAT MAY ARISE SPECIFIC MEASURES TO BE PUT IN PLACE TO ELIMINATE OR CONTROL THE RISKS
RISK RISK
X XXX XXXXXXX XXXXX XXXX XXXXXXXX XXXXXXXXXXXXXX XXXXXXXX XX XXXXXX XXXXX
XXXXXX XXXXXX XXXX XXXXXX
X XXXXXXX XXXXXXX XXXXXX XX XXXXXXXXX XXXX XXXXX XX XXXXXXXX XXX XXXXXXX XXX
XXXXXXXXXXXXXX

E
X XXXXXXX X XXXXXXXXX XXX XXXXX XX XXXXXX XXXXXX XXXXXXXXXXX XX XXXXXX
XXXXXXXXXXXXX XXXXXXXXXXXX
X XXXXXXXX XXXXXXXX XXXXXXXXX XXXXXXX XX XXXXXXXX XXXX XXXXXX XX XXXXXXXXXX

L
XXXXX XXXXXXXX
X XXXXXXXXX X XXXXXXXXXXXX XXXXXXXX XXX XXXX XXXXXXXXX XX XXXXXXXXXX XXX
XXXXXXX XXX XXXXXXXX XXXXXXX

P
X XXXXXXXXX XXXX XXXXXXXXXXXXX XXXXXX XXXXX XX XXXXXXX XXXXXXXXX
XXXXXXXXXXXX XX XXXXXXXXXXXXX XX XXXXXXXXXXXX
X XXXXXX XXX XXXXXXXXXXX XXXXXXXXX XX XXXXXXXXX XXXXXXXXXX XXX XXXXXXXXXX
XXX XXXXXXX XXXX XXXXXXXXXXX
X XXX XX X XXXX XXXXXX XXXXXX XXXXX XXXXXXXXXX XXX XXXXXXXXXXX XXXX XXXXXXX

M
XXXXXXXXXX XXXXXXXXX
X XXXXXXX X XXXXXXXX XX XXXXXX XXXXXXXX XXXXXXXXXX XX XXXX XXXXXXXXXXX XX
XXXXX XX X XXXXXXXX XXXXXXXX XXX XXXXXXXXXX

A
X XXXXXXX XXXXXX XXXXXX XX XXXXXXXXXX XX XXX XXXXXXXXX XX XXXXXXXXX XXXXXX
XXXXXXXXXX XXXXXXXXXX
X XXXXXXX XXXXXXXXX XXXXXXX XXXXXXXXX XXXXXXXXX XXXXXXXXXXX XXX XXXXXXXXXX
XXX XXXXXXXX XX XXXX XXXXXXXXXX

S
X XXXXXXXXXXX XXXXXXXXXX XXXX XXXXXX XXXX XXXX XXXXX XXXXXX XXXXXXXXXXXX XXX
XXXX XXXX XX XXX XXXXXXXXXX XXXXXXXX

Version 2.5 Authorised by Review # Date of Issue: Review Date: 17

 EMERGENCY RESPONSE – CALL 000 FOR EMERGENCIES

Ensure to have an Emergency Management Plan in place as well as adequate numbers of trained first aid staff with easy access to fully stocked first aid kits, rescue equipment, material safety data sheets,
adequate access to emergency communication equipment and fire -fighting equipment suitable for all classes of fire and ignition sources.

LEGISLATIVE REFERENCES

E
RELEVANT LEGISLATION AND CODES OF PRACTICE. DELETE THE LEGISLATIVE REFERENCES IN ANY STATE THAT ARE NOT APPLICABLE

Queensland & Australian Capital Territory Victoria

L
Work Health and Safety Act 2011 Occupational Health and Safety Act 2004
Work Health and Safety Regulations 2011 Occupational Health and Safety Regulations 2017
Legislation QLD: https://www.worksafe.qld.gov.au/laws-and-compliance/work-health-and-safety-laws Legislation VIC: https://www.worksafe.vic.gov.au/occupational-health-and-safety-act-and-
Codes of Practice QLD: https://www.worksafe.qld.gov.au/laws-and-compliance/codes-of-practice regulations
Legislation ACT: https://www.worksafe.act.gov.au/laws-and-compliance/acts-and-regulations Codes of Practice VIC: https://www.worksafe.vic.gov.au/compliance-codes-and-codes-practice

P
Codes of Practice ACT: https://www.worksafe.act.gov.au/laws-and-compliance/codes-of-practice

New South Wales Western Australia

Work Health and Safety Act 2011 Work Health and Safety Act 2020
Work Health and Safety Regulations 2017 Work Health and Safety Regulations 2022

M
Legislation NSW: https://www.safework.nsw.gov.au/legal-obligations/legislation Legislation Western Australia: https://www.commerce.wa.gov.au/worksafe/legislation
Codes of Practice NSW: https://www.safework.nsw.gov.au/resource-library/list-of-all-codes-of-practice Codes of Practice WA: https://www.commerce.wa.gov.au/worksafe/codes-practice

Northern Territory Safe Work Australia Links

Work Health and Safety (National Uniform Legislation) Act 2011 Law and Regulation (All States): https://www.safeworkaustralia.gov.au/law-and-regulation

A
Work Health and Safety (National Uniform Legislation) Regulations 2011 Model Codes of Practice: https://www.safeworkaustralia.gov.au/resources-publications/model-
Legislation NT: https://worksafe.nt.gov.au/laws-and-compliance/workplace-safety-laws codes-of-practice
Codes of Practice NT: https://worksafe.nt.gov.au/forms-and-resources/codes-of-practice
Model Codes of Practice

S
South Australia
Work Health and Safety Act 2012 (SA) - Managing noise and preventing hearing loss at work
Work Health and Safety Regulations 2012 (SA) - Confined spaces
Legislation for SA: https://www.safework.sa.gov.au/resources/legislation - Labelling of workplace hazardous chemicals
Codes of Practice for SA: https://www.safework.sa.gov.au/workplaces/codes-of-practice#COPs - Managing risks of hazardous chemicals in the workplace
- Welding processes
Tasmania - First aid in the workplace
Work Health and Safety Act 2012 - Managing the risk of falls at workplaces
Work Health and Safety (Transitional and Consequential Provisions) Act 2012 - Hazardous manual tasks
Work Health and Safety Regulations 2012 - Managing the risk of falls in housing construction
Work Health and Safety (Transitional) Regulations 2012 - Managing electrical risks in the workplace
Legislation for TAS: https://worksafe.tas.gov.au/topics/laws-and-compliance/acts-and-regulations - Demolition work
Codes of Practice for TAS: https://worksafe.tas.gov.au/topics/laws-and-compliance/codes-of-practice - Excavation work
- Work health and safety consultation, cooperation and coordination
Details of permits, licenses or access required by regulatory bodies (add or delete as required): - Managing the work environment and facilities
- How to manage work health and safety risks
- Permits from local council - Managing risks of plant in the workplace
- Authorisation to commence work - Construction work
- Any required documents.

Version 2.5 Authorised by Review # Date of Issue: Review Date: 18

 SIGNATORIES OF THE SAFE WORK METHOD STATEMENT

The signed and dated personnel listed below have cooperated in the consultation and development of this Safe Work Method Statement which has been approved by the Person/s Conducting a Business or
Undertaking (PCBU). In signing this Safe Work Method Statement each individual acknowledges and confirms that they have read this SWMS in full, having raised any questions for items on this Safe Work
Method Statement that require clarification, and confirms that they are competent, skilled and knowledgeable for the task ass igned to them. Every person acknowledges that they have received the relevant
training and qualifications where required, before carrying out any work contained in this Safe Work Method Statement. By signing this Safe Work Method Statement each individual agrees to work safely, to
follow any safe work instructions which are provided, and agrees to use all Personal Protective Equipment where appropriate.

E
Worker Name Signature Date

P L
A M
SAFE WORK METHOD STATEMENT MONITORING AND REVIEW

The SWMS must be reviewed regularly to make sure it remains effective and must be reviewed (and
revised if necessary) if relevant control measures are revised. The review process should be carried out in
consultation with workers (including contractors and subcontractors) who may be affected by the operation
of the SWMS and their health and safety representatives who represented that work group at the
The SWMS must be monitored regularly for the effectiveness of ensuring hazard controls are
effective in reducing the risk of incidents, keeping the workplace safe for all personnel. The
person responsible for monitoring the effectiveness of the Safe Work Method Statement should
employ a multi-faceted approach which includes but is not limited to:

S
workplace.
1. Spot Checks.
When the SWMS has been revised the PCBU must ensure that all persons involved with the work are 2. Consultation with workers, contractors and sub-contractors.
advised that a revision has been made and how they can access the revised SWMS , including all persons 3. Internal audits on a continual basis.
who will need to change a work procedure or system as a result of the review are advised of the changes in
a way that will enable them to implement their duties consistently with the revised SWMS . All workers that An approach of continuous improvement, promptly recording inconsistencies or deficiencies,
will be involved in the work must be provided with the relevant information and instruction that will assist followed up by immediate corrective action and consultation with all relevant personnel ensures
them to understand and implement the revised SWMS. that the PCBU is consistently developing ever-improving systems of safe work principles.

REVIEW NUMBER 1 2 3 4 5 6 7
NAME

INITIALS
DATE

Version 2.5 Authorised by Review # Date of Issue: Review Date: 19

 SAFE WORK METHOD STATEMENT REVIEW CHECKLIST

This Safe Work Method Statement Review Checklist is to be followed and used upon initial development of the SWMS to help ensure that all steps have been adequately taken before work commences.
Think of this document as an internal audit review checklist before commencing work, and may form part of a Toolbox Talk (safety meeting) and may be used as an opportunity for education and training.

ITEMS WHICH MUST BE INCLUDED IN THE SWMS COMPLETED COMMENTS

The company details have been entered, including the project name and address.

All relevant personnel consulted during the development of the SWMS.

Name, signature, position and date signed of the person approving the SWMS.
☒
☒
☐

L E
P
Specific personnel and qualifications, experience is noted in the SWMS. ☒
Provides a step-by-step process of tasks required to carry out the activity or task. ☒
Adequate risk assessment of any identified hazards has been completed. ☒

M
Foreseeable hazards are identified and documented for each step. ☒
Any hazards listed in any site risk assessments have been added to the SWMS. ☒
SWMS initial risk (IR) column as well as residual risk (RR) columns completed. ☒

A
Check control measures added to the SWMS are the most effective selections. ☒
Responsible person is assigned and listed on the SWMS for the implementation of control measures. ☒

S
Permit or licenses requirements specified, such as Hot Work, Electrical Work, Work at Heights etc. ☒
SWMS identifies plant and equipment to be used. ☒
Details of inspection checks required for any equipment listed are noted on the SWMS. ☒
Describes any mandatory qualifications, experience, training or skills required to perform the work. ☒
Applicable personal protective equipment is selected on the SWMS. ☒
Reflects and documents any legislative references and/or Australian Standards. ☒
Identifies any hazardous substances used with specific control measures in line with any SDS. ☒

REVIEWED BY DATE REVIEWED

SIGNATURE DATE COMPLETED

Version 2.5 Authorised by Review # Date of Issue: Review Date: 20